Healthcare Provider Details

I. General information

NPI: 1518804830
Provider Name (Legal Business Name): LARRY CAMPBELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 E MAIN ST
BARNESVILLE OH
43713-1418
US

IV. Provider business mailing address

716 E MAIN ST
BARNESVILLE OH
43713-1418
US

V. Phone/Fax

Practice location:
  • Phone: 740-827-6979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: